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This is a sample. It is important to write your letter with your own details and based on your own circumstances. If you need more help get legal advice.
Charlie Bostock39999 Example StreetAshfield NSW 2131
15 April 2014
WORLD SQUARE NSW 2000
Re: Request for an adjournment Case 2013/0121012 –– Negligent Driving
I am due to appear at Sydney Central Local Court on 22 January 2018.
I cannot attend court that day as I have recently broken my arm and I am required to stay in bed for the next two weeks. I have attached a medical certificate from the Royal Prince Alfred Hospital dated 14 April 2018.
I ask the court to adjourn my case to another date. I would be able to attend court on any date from 30 April 2018.
I may be contacted on my mobile 0433 666 111 by email at email@example.com or at my above residential address.